Job summary
An exciting opportunity has arisen for a Care
Co-ordinator to develop a pioneering role within primary care. The role will provide co-ordination and
navigation for people and their carers across health and care services working closely with social prescribing link workers, health and wellbeing coaches and other
primary care roles.
West Lancashire GP Federation is looking for a Care Co-ordinator to join the Northern Parishes PCN, working with one of our member practices, Parbold Surgery.
Main duties of the job
Care Co-Ordinators provide extra
time, capacity and expertise to support patients in preparing for or in
following up clinical conversations that they have with primary care
professionals i.e. doctors, nurses, physiotherapists, physician associates,
paramedics etc. Their focus is on
delivering a comprehensive model for personalised care, reflecting local
priorities, health inequalities and population health management risk
stratification. They also support the
coordination and delivery of MDTs within PCNs.
You will take an approach that is non-judgmental, based on strong
communication and negotiation skills. Your role and skills will
support and encourage the prevention of developing further illness, or the
deterioration of existing long-term conditions.
When working with our local care
homes, the role will focus on undertaking a personal care and support plan for
each resident and sign posting patient needs to fellow Enhanced Care Home
Scheme Team members.
About us
Employment will be with West Lancashire GP Federation as a central function to the Primary Care Network members. Direct line
management and will be provided by the Primary Care Network Manager and wider team of GPs, Practice Managers and Advanced Nurse
Practitioners.
Our organisational values are at the forefront of everything we do:
Openness
Trust
Authenticity
Courage
Drive
As an organisation developing new relationships and business, it is vital that we grow the right culture and that the successful candidate lives and breathes our values and behaviours. We strive to develop a fun and vibrant environment that grows talent and provides wow-factor outcomes. Our ethos is about learning from each other and pulling together as a team to be the best we can be for ourselves and our patients.
Job description
Job responsibilities
Care Co-Ordinators will:
- Work closely with practice and PCN healthcare roles, the Care Coordinator is to identify and work with a cohort of people to support their personalised care requirements, using any available decision support tools such as Patient Activation Measure (PAM), templates and software
- Collate all of a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice
- Meet patients, patient carers and family members to discuss their personalised care requirements, the services available to them and the help they want
- Visit patients, checking on the care that they have received and documenting it accordingly
- Work with the care team to evaluate interventions and identify where and when further ones will be required
- Help people to manage their needs by answering their queries and supporting them in making appointments
- Assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools
- Provide patients with high quality, easy to understand information to assist them in making choices about their care
- Support patients in understanding their level of knowledge, skills and confidence (known as activation level) when participating in their health and well-being using, where appropriate
- Liaise with other Care Coordinators in other practices across the area and share best practice
- Assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being
- Where appropriate, to assist patients to access personal health budgets
- Provide coordination and navigation of patients, and where appropriate their carers, across health and social care services, where appropriate working hand in hand with social prescribing link workers (SPLW)
- Support in the delivery of enhanced services and other service requirements on behalf of the PCN
- Actively participate in the delivery of multi-disciplinary team (MDT) meetings within PCNs; responsible for preparatory admin, sending meeting invitations and taking notes of meetings.
- Undertake all mandatory training and induction programmes
- Contribute to and embrace the spectrum of clinical governance
- Contribute to public health campaigns (e.g. flu clinics) through advice or direct care
-
Undertaking clinical observations to support the plans, as
appropriate.
Engage with and support the new and evolving agendas and service
requirements across the PCN, including our work with Care Homes residents and
the need to proactively manage their care in an individualised way.
Job description
Job responsibilities
Care Co-Ordinators will:
- Work closely with practice and PCN healthcare roles, the Care Coordinator is to identify and work with a cohort of people to support their personalised care requirements, using any available decision support tools such as Patient Activation Measure (PAM), templates and software
- Collate all of a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice
- Meet patients, patient carers and family members to discuss their personalised care requirements, the services available to them and the help they want
- Visit patients, checking on the care that they have received and documenting it accordingly
- Work with the care team to evaluate interventions and identify where and when further ones will be required
- Help people to manage their needs by answering their queries and supporting them in making appointments
- Assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools
- Provide patients with high quality, easy to understand information to assist them in making choices about their care
- Support patients in understanding their level of knowledge, skills and confidence (known as activation level) when participating in their health and well-being using, where appropriate
- Liaise with other Care Coordinators in other practices across the area and share best practice
- Assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being
- Where appropriate, to assist patients to access personal health budgets
- Provide coordination and navigation of patients, and where appropriate their carers, across health and social care services, where appropriate working hand in hand with social prescribing link workers (SPLW)
- Support in the delivery of enhanced services and other service requirements on behalf of the PCN
- Actively participate in the delivery of multi-disciplinary team (MDT) meetings within PCNs; responsible for preparatory admin, sending meeting invitations and taking notes of meetings.
- Undertake all mandatory training and induction programmes
- Contribute to and embrace the spectrum of clinical governance
- Contribute to public health campaigns (e.g. flu clinics) through advice or direct care
-
Undertaking clinical observations to support the plans, as
appropriate.
Engage with and support the new and evolving agendas and service
requirements across the PCN, including our work with Care Homes residents and
the need to proactively manage their care in an individualised way.
Person Specification
Qualifications
Essential
- Minimum English GCSE grade C or equivalent
- Minimum Maths GCSE grade C or equivalent
Desirable
- Customer Care Qualification
Experience
Essential
- Experience of working in a health care setting
Skills and Knowledge
Essential
- Computer literate with extensive experience of Microsoft Word, Outlook, Excel, PowerPoint and Access
- Excellent written, interpersonal and communication skills
- Ability to prioritise and have a flexible approach to workflows
- Strong focus on timely delivery of objectives and strong self-motivation
- Ability to communicate at all levels
- Active and empathetic listening
- Effective questioning
- Ability to build trust and rapport
- Professional behaviour at all times
- Effective time management
- Ability to work as a team member and autonomously
- Strong analytical thinking and ability to handle multiple tasks concurrently
- Ability to travel to locations across West Lancashire
- Experience of working in a Primary Care setting, healthcare environment and/or public sector is desirable
- Experience in working within a digital environment
- Planning and organisational skills
- Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches
- Shared agenda setting/ collaborative goal setting/ shared follow-up planning
Desirable
- Knowledge of personalised care
Person Specification
Qualifications
Essential
- Minimum English GCSE grade C or equivalent
- Minimum Maths GCSE grade C or equivalent
Desirable
- Customer Care Qualification
Experience
Essential
- Experience of working in a health care setting
Skills and Knowledge
Essential
- Computer literate with extensive experience of Microsoft Word, Outlook, Excel, PowerPoint and Access
- Excellent written, interpersonal and communication skills
- Ability to prioritise and have a flexible approach to workflows
- Strong focus on timely delivery of objectives and strong self-motivation
- Ability to communicate at all levels
- Active and empathetic listening
- Effective questioning
- Ability to build trust and rapport
- Professional behaviour at all times
- Effective time management
- Ability to work as a team member and autonomously
- Strong analytical thinking and ability to handle multiple tasks concurrently
- Ability to travel to locations across West Lancashire
- Experience of working in a Primary Care setting, healthcare environment and/or public sector is desirable
- Experience in working within a digital environment
- Planning and organisational skills
- Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches
- Shared agenda setting/ collaborative goal setting/ shared follow-up planning
Desirable
- Knowledge of personalised care
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
